| NPI | 1881022440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I 0900118 SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY KY-3300) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-18 |